Provider Demographics
NPI:1225417090
Name:HOZIC, AMELA (DO)
Entity type:Individual
Prefix:DR
First Name:AMELA
Middle Name:
Last Name:HOZIC
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 SUNSET DR STE 112
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2340
Mailing Address - Country:US
Mailing Address - Phone:925-359-5218
Mailing Address - Fax:
Practice Address - Street 1:160 SUNSET DR STE 112
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2340
Practice Address - Country:US
Practice Address - Phone:925-359-5218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19302207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine